Ultrasound in Medicine and Biology
Volume 33, Issue 8 , Pages 1179-1183 , August 2007

Hepatic Portal Venous Gas in Ultrasonogram—Benign or Noxious

  • Huay-Ben Pan

      Affiliations

    • Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
    • Department of Radiation Technology, I-Shou University, Kaohsiung, Taiwan
    • School of Medical, National Yang-Ming University, Taipei, Taiwan
    • ,
  • Jer-Shyung Huang

      Affiliations

    • Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
    • School of Medical, National Yang-Ming University, Taipei, Taiwan
    • ,
  • Tsung-Lung Yang

      Affiliations

    • Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
    • School of Medical, National Yang-Ming University, Taipei, Taiwan
    • ,
  • Huei-Lung Liang

      Affiliations

    • Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
    • School of Medical, National Yang-Ming University, Taipei, Taiwan
    • Corresponding Author InformationAddress correspondence to: Huei-Lung Liang, MD, Department of Radiology, Kaohsiung Veterans General Hospital, 386 Ta-Chung 1st Road, Kaohsiung, Taiwan 813, ROC.

Received 12 July 2006 ,Revised 5 January 2007 ,Accepted 12 January 2007.

References 

  1. Asamura H, Ito M, Takayanagi K, et al. Hepatic portal venous gas on postmortem CT scan. Legal medicine. 2005;7:326–330
  2. Bloom RA, Lebensart PD, Levy P, Craciun E, Anner H, Manny J. Survival after ultrasonographic demonstration of portal venous gas due to mesenteric artery occlusion. Postgrad Med J. 1990;66(772):137–139
  3. Brown MA, Hauschildt JP, Casola G, et al. DB Intravascular gas as an incidental finding at US after blunt abdominal trauma. Radiology. 1999;210(2):405–408
  4. Butler BD, Fife C, Sutton T, Pogodsky M, Chen P. Hepatic portal venous gas with hyperbaric decompression: Ultrasonographic identification. J Ultrasound Med. 1995;14(12):967–970
  5. Carmen S, Sergi Q, Eloy E, et al. Portomesenteric vein gas: Mechanisms, CT findings, and prognosis. Radiographics. 2000;20(5):1213–1224
  6. Chiu HH, Chen CM, Lu YY, Lin JC, Mo LR. Hepatic portal venous gas. Am J Surg. 2005;189(4):501–503
  7. Faberman RS, Mayo-Smith WW. Outcome of 17 patients with portal venous gas detected by CT. AJR. 1997;169:1535–1538
  8. Fred HL, Mayhall CG, Harle TS. Hepatic portal venous gas: A review and report on six new cases. Am J Med. 1968;44:557–565
  9. Gosink BB. Intrahepatic gas: Differential diagnosis. AJR. 1981;137:763–767
  10. Gredell JH, Ockner RK. Vascular disease of the bowl. In:  Sleisenger MH,  Fordtran JS editor. Gastrointestinal disease: Pathophysiology, diagnosis and management. 4th ed. Philadelphia: Saunders; 1989;p. 1903–1924
  11. Hollerweger A, Rettenbacher T. Detection of portal venous gas on sonography, but not on CT. Eur Radiol. 2003;13(Suppl. 4):L251–L253
  12. Kalb D, Roberts S, Cumming J. Portal venous gas after blunt trauma: A case report. J Trauma-Injury Infection Critical Care. 2003;55(5):982–984
  13. Kriegshauser JS, Reading CC, King BF, Welch TJ. Combined systemic and portal venous gas: Sonographic and CT detection in two cases. Am J Roentgenol. 1990;154(6):1219–1221
  14. Lafortune M, Trinh BC, Burns PN, et al. Air in the portal vein: Sonographic and Doppler manifestations. Radiology. 1991;180(3):667–670
  15. Lerche D, Baumler H. Moderate heat treatment of only red blood cells (RBC) slows down the rate of RBC-RBC aggregation in plasma. Biorheology. 1984;21(3):393–403
  16. Liebman PR, Patten MT, Manny J, Benfield JR, Hechtman HB. Hepatic-portal venous gas in adults: etiology, pathophysiology and clinical significance. Ann Surg. 1978;187:281–287
  17. Lien WC, Chang WT, Huang SP, et al. Hepatic portal venous gas associated with poor outcome in out-of-hospital cardiac arrest patients. Resuscitation. 2004;60(3):303–307
  18. Maher MM, Tonra BM, Malone DE, Gibney RG. Portal venous gas: Detection by gray-scale and Doppler sonography in the absence of correlative findings on computed tomography. Abdom Imaging. 2001;26(4):390–394
  19. Nguyen HN, Purucker E, Riehl J, Matern S. Hepatic portal venous gas following emergency endoscopic sclerotherapy of gastric varices. Hepatogastroenterology. 1998;45(23):1767–1769
  20. Patrick C, Emmanuel P, Johanna S, et al. Detection of portal venous gas on sonography, but not on CT. Eur Radiol. 2002;12:1175–1178
  21. Sato M, Kikuchi H, Takada K, et al. Transient portomesenteric venous gas in long-term hemodialysis patients. Radiat Med. 2005;23(8):570–573
  22. Schulze CG, Blum U, Haag K. Hepatic portal venous gas (Imaging modalities and clinical significance). Acta Radiologica. 1995;36:377–380
  23. Sorantin E, Fotter R, Schimpl G. Reversible portal venous gas in hypertrophic pyloric stenosis: Detection by ultrasound. J Ultrasound Med. 1995;14(9):699–701
  24. Susman N, Senturia HR. Gas embolism of the portal venous system. Am J Roentgenol. 1960;83:847–850
  25. Wolf JN, Evans WA. Gas in the portal vein of the liver in infants: a roentgenographic demonstration with postmortem anatomical correlation. Am J Roentgenol. 1955;74:486–489

PII: S0301-5629(07)00088-9

doi: 10.1016/j.ultrasmedbio.2007.01.014

Ultrasound in Medicine and Biology
Volume 33, Issue 8 , Pages 1179-1183 , August 2007

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